Interactions in psychiatric care consultation in Akan speaking communities

2019 ◽  
Vol 15 (1) ◽  
pp. 40-52
Author(s):  
Nana Aba Appiah Amfo ◽  
Ekua Essumanma Houphouet ◽  
Eugene K. Dordoye ◽  
Rachel Thompson

The present paper examines interactions in psychiatric care consultation in selected hospital settings in three Akan-speaking communities in Ghana, based on 45 audio-recorded doctor/nurse-patient interactions. Using a discourse pragmatics approach, we note how language is used in the management of communication in psychiatric consultations, and how the dominance of healthcare practitioners is enacted. Specifically, we focus on some of the strategies used by the participants to manage the multilingual communicative settings, such as code-mixing. Our findings also suggest that the use of proverbs as a diagnostic tool in psychiatric consultations in Ghana needs to be reviewed. We propose that in order for patients to experience consultation sessions that are more interactive, with possible therapeutic benefits, health practitioners need to make considerable efforts to involve the patients in decisions regarding their health.

Author(s):  
Peter Garratt

In WHAT GOOD ARE THE ARTS? (2005), a polemic aimed at shredding many longstanding conceptions of art and aesthetic judgement, the literary critic John Carey briefly discusses a bibliotherapy project established over a decade earlier in West Yorkshire by John Duffy. This was a project in which patients with depression, stress and anxiety disorders were given the opportunity to participate in reading groups, book advice surgeries and other literacy activities, having been referred to the service by mental health practitioners – an alternative to the anti-depressant medication commonly prescribed to such patients by GPs. The service users in question were ‘helped by art’, in Carey’s words, not treated by pharmacological means. The initiative demonstrated the potential therapeutic benefits of reading books, while seeming to dismantle the languid association of art with uselessness or transcendence, as distilled in W. H. Auden’s phrase, ‘poetry makes nothing happen.’ For Carey, bibliotherapy programmes like this one could not help also rubbing up against established notions of literary value, in turn reviving old questions over the nature and ends of art generally.


2019 ◽  
Vol 20 (2) ◽  
pp. 102
Author(s):  
Ainun Jaryah Bahrir

ABSTRAK Kodein adalah alkaloid terkandung dalam opium sebesar 0,7- 2,5%, selain itu alkaloid kodein juga ditemukan dalam opioid sekitar 0,3- 3,0%. Kodein merupakan obat analgesik golongan opium yang biasa digunakan untuk penghilang rasa nyeri dari sedang hingga berat. Kodein merupakan obat yang paling banyak digunakan dikalangan praktisi kesehatan. Kodein yaitu sejenis obat batuk, namun dapat menyebabkan ketergantungan/efek adiksi sehingga peredarannya dibatasi dan diawasi secara ketat. Dalam menggunakan suatu obat, tidak hanya manfaat terapi dari obat itu yang dipertimbangkan tetapi juga efek samping yang ditimbulkannya. Kodein merupakan salah satu jenis NAPZA golongan depresan. Depresan adalah senyawa yang dapat menekan sistem tubuh. Depresan Sistem Syaraf Pusat (SSP) adalah senyawa yang dapat menurunkan aktivitas fungsional dari Sistem Syaraf Pusat (SSP). Akibatnya yaitu menurunnya fungsi beberapa organ tubuh. Depresan Sistem Syaraf Pusat (SSP) bekerja dengan menekan pusat kesadaran, rasa nyeri, denyut jantung dan pernafasan. Telah dilaporkan beberapa kasus penyalahgunaan kodein hingga menyebabkan kematian. Maka dari itu tujuan dari artikel ini untuk memaparkan tentang kodein dan bagaimana tahapan pembuktian kasus penyalahgunaan dengan menggunakan tiga laporan kasus yang telah ada. Kata kunci: kodein, analgesik, penyalahgunaan obat, studi kasus ABSTRACT Codeine is an alkaloid contained in opium of 0.7-2.5%, besides that codeine alkaloids are also found in opioids around 0.3-3.0%. Codeine is an opium analgesic drug commonly used for moderate to severe pain relief. Codeine is the most widely used drug among health practitioners. Codeine is a type of cough medicine, but can cause addiction so that circulation is limited and closely monitored. In using a drug, not only the therapeutic benefits of the drug are considered but also the side effects it causes. Codeine is one type of drug depressant group. Depressants are compounds that can suppress body systems. Central nervous system (CNS) depressants are compounds that can decrease the functional activity of the central nervous system (CNS). The result is a decrease in the function of several organs of the body. Central nervous system (CNS) depressants work by suppressing the center of awareness, pain, heart rate and breathing. Several cases of codeine abuse have been reported to cause death. Therefore the purpose of this article is to explain about codeine and how the stages of evidence of abuse are used by using three existing case reports. Keywords: codeine, analgesic, drug abuse, study case


Author(s):  
Lulu Wang ◽  
Ahmed Al-Jumaily ◽  
Andrew Kilding

Exercise-induced bronchoconstriction (EIB) and Exercise-induced asthma (EIA) are used synonymously to describe acute lung airway narrowing occurring during and/or after exercise. Tools usually used by health practitioners to assess the severity of EIB or EIA symptoms include bronchodilator tests and various bronchial provocation procedures including spirometer and eucapnic voluntary hyperpnoea (EVH) challenge system, there is no tool that is able to monitor the severity of acute lung airway narrowing. This study aims to design a graphical user interface (GUI) to monitor the severity of acute lung airway narrowing using MATLAB software. The GUI will present the measurement data into a simple and user-friendly program consisting of patient information, EVH test analysis and detection of EIA and EIB. Success of this project widens the usage of EVH challenge in medical areas and the GUI may serve as a new clinical computer-aided diagnostic tool to help healthcare professionals non-invasively monitor the severity of asthma, EIA and EIB.


1982 ◽  
Vol 13 (1) ◽  
pp. 37-41
Author(s):  
Larry J. Mattes

Elicited imitation tasks are frequently used as a diagnostic tool in evaluating children with communication handicaps. This article presents a scoring procedure that can be used to obtain an in-depth descriptive analysis of responses produced on elicited imitation tasks. The Elicited Language Analysis Procedure makes it possible to systematically evaluate responses in terms of both their syntactic and semantic relationships to the stimulus sentences presented by the examiner. Response quality measures are also included in the analysis procedure.


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